Provider Demographics
NPI:1538871322
Name:FIGUEREDO, ALBERTO ARIEL
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:ARIEL
Last Name:FIGUEREDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:FIGUEREDO ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4232 ERINDALE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5030
Mailing Address - Country:US
Mailing Address - Phone:305-753-8485
Mailing Address - Fax:
Practice Address - Street 1:602 SE 16TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1684
Practice Address - Country:US
Practice Address - Phone:239-573-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023356363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily